Lifefirst Imaging and Oncology Care Group 1811 Parkway Circle Cullman, Alabama 35058 (256) 737-2285 Telephone (256) 737-2287 Facsimile INSTRUCTION SHEET PROSTATE SEED IMPLANTATION 1. Prior to Implant: a.) Stop aspirin or anti-inflammatory medication 1 week prior to implant. Night before 1.) Full liquid diet Fleet’ s enemas until clear Nothing to eat or drink after midnight Morning of implant 1.) Repeat Fleet enema. It is extremely important that the bowels be completely clean. Take antibiotic, if ordered, with sip of water before coming to hospital. Take regular blood pressure or heart medicine with sip of water. During time of implant: a.) You will have either a spinal (epidural) or general anesthesia. A catheter will be placed to drain your bladder during the procedure. It will either be removed before you wake up or after the procedure. After the Implant: a.) Most patients do not experience discomfort immediately after the implant However, you may experience any of the following: 1.) Pain or burning with urination Bruising in the crotch Frequent urges to urinate Getting up frequently late at night Slow stream or hard to start urination Your urologist will take several steps to help you if you develop bothersome symptoms. Measures to help you if you experience symptoms or difficulties a.) Painful urination or burning with urination 1.) If ordered by your physician, take pyridium 100 to 200 mg every 8 hours. -This tiny pill will ease the burning with urination -It will turn the urine orange-yellow -Use only when needed, not all the time Sometimes the burning is associated with certain foods. Try to eliminate the following foods to see if it will help: -Coffee and all caffeinated substances -Spicy and peppery foods -Citrate products (orange, grapefruit, pineapple, tomato) and acids (vinegar and salad dressing) Frequent urges to urinate or slow stream 1.) If ordered by your physician, an anti-inflammatory drug can be helpful for these symptoms. Naprosyn is usually prescribed; take as directed. If stomach upset or severe heartburn occurs, discontinue the drug. Severe slow stream or constant urination of small amounts 1.) If the prostate is very swollen then a stronger medication may be necessary. Drugs called alpha-blockers, which are used to treat high blood pressure and enlarged prostates, are often very helpful. The two drugs that are commonly prescribed are Cardura and Hytrin. If you need to take this medicine please observe the following: -Speak with a medical doctor if you are taking another medication for high pressure. It may be necessary to adjust the dose of it. -Start with the lowest dose available and take the medication at bedtime. If the dose needs to be increased, do it slowly over several days. -Because the medication may lower your blood pressure at night, if you need to get up in the middle of the night, sit at the side of the bed for a few moments so you don’ t get light headed when you get up. Getting up frequently at night 1.) Do not drink anything after 6:00 PM Reduce coffee and alcohol consumption late in the day and none at night. Call your physician if you develop: a.) Inability to urinate- if you develop a prolonged inability to urinate (>4 hours), contact your urologist. If you are not able to do so then go to the emergency room. You may need to have a catheter placed to temporarily relieve a blockage. You may try soaking in a warm tub first; this sometimes helps to relax the prostate and allows for urination. Do not take over-the-counter cold medication without consulting your urologist. These preparations can make urination after an implant very difficult. High Fever- If you experience a high fever (>101) after the implant, call your urologist. Your urologist probably prescribed an antibiotic after the implant. These should be taken for 7 days. Radiation safety rules to follow: a.) Do not place a pregnant woman or small child on your lap for 2 months following Pd-103 implant or 6 months following an I-125 implant. There is a 1-2% chance that a loose seed could be passed in the urine the first two months following the implant. To protect your partner from a seed passing during sexual relations, a condom should be used each time you have sexual relations for a two-month period following your procedure. Any loose seeds that are found should be placed in a bottle with a top and put in a medicine cabinet. Call the Radiation Oncologist for further instructions at (256) 737-2285.
HEALTH CARE PROVIDER ORDERS FOR STUDENTS WITH DIABETES IN WASHINGTON STATE SCHOOLS STUDENT’SNAME ____________________________Student’sbirthdate___/___/___School_____________Grade___ Emergency numbers for parents (phone) ____-_____-_____ (Cell contact 2) ____-_____-_____ (Cell) ____-_____-____ Doctor’s phone number_____-_____-______ Other contacts________________________________, _____-
Wednesday October 31, 2012 Exodus 9:13 – 10:29 I. Who Are the Warrior Kings? A. Then Moses said to God, “If I come to the people of Israel and say to them, ‘The God of your fathers has sent me to you,’ and they ask me, ‘What is his name?’ what shall I say to them?” God said to Moses, ‘I AM WHO I AM.” 1. “In the beginning God created the heavens and the earth.” (Genesis